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    Meniere's Disease

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    Shaibu Ham
    Meniere's disease is a condition caused by increased fluid pressure within the inner ear that results in episodes of vertigo, hearing loss, tinnitus, and aural fullness. Symptoms occur in episodes and can include severe vertigo, nausea, and vomiting. Diagnosis involves audiometry, electronystagmography, and imaging to rule out other causes. Treatment focuses on reducing fluid intake and includes steroids, diuretics, and medications to suppress vertigo and nausea during attacks. Complications can include injury, anxiety, accidents during spells of vertigo, progressive hearing and balance issues, and intractable tinnitus.

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    Meniere's Disease

    Uploaded by

    Shaibu Ham
    151 views8 pages
    Meniere's disease is a condition caused by increased fluid pressure within the inner ear that results in episodes of vertigo, hearing loss, tinnitus, and aural fullness. Symptoms occur in episodes and can include severe vertigo, nausea, and vomiting. Diagnosis involves audiometry, electronystagmography, and imaging to rule out other causes. Treatment focuses on reducing fluid intake and includes steroids, diuretics, and medications to suppress vertigo and nausea during attacks. Complications can include injury, anxiety, accidents during spells of vertigo, progressive hearing and balance issues, and intractable tinnitus.

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    Meniere's disease is a condition caused by increased fluid pressure within the inner ear that results in episodes of vertigo, hearing loss, tinnitus, and aural fullness. Symptoms occur in episodes and can include severe vertigo, nausea, and vomiting. Diagnosis involves audiometry, electronystagmography, and imaging to rule out other causes. Treatment focuses on reducing fluid intake and includes steroids, diuretics, and medications to suppress vertigo and nausea during attacks. Complications can include injury, anxiety, accidents during spells of vertigo, progressive hearing and balance issues, and intractable tinnitus.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    151 views8 pages

    Meniere's Disease

    Uploaded by

    Shaibu Ham
    Meniere's disease is a condition caused by increased fluid pressure within the inner ear that results in episodes of vertigo, hearing loss, tinnitus, and aural fullness. Symptoms occur in episodes and can include severe vertigo, nausea, and vomiting. Diagnosis involves audiometry, electronystagmography, and imaging to rule out other causes. Treatment focuses on reducing fluid intake and includes steroids, diuretics, and medications to suppress vertigo and nausea during attacks. Complications can include injury, anxiety, accidents during spells of vertigo, progressive hearing and balance issues, and intractable tinnitus.

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    Meniere’s Disease

    Nachinab Gilbert
    Meniere Disease aka
    (Idiopathic Endolymphatic Hydrops)
    • It is a condition of increased hydraulic pressure within
    the inner ear endolymphatic system

    • Endolymphatic hydrops causes fluid pressure


    accumulation within the inner ear, which causes
    temporary malfunction and misfiring of the vestibular
    nerve

    • Meniere’s disease symptoms tend to come on as


    “episodes” or “attacks.”

    • Most people with Meniere’s disease don’t experience


    symptoms between episodes.
    • Excess pressure accumulation in the endolymph
    can cause a tetrad of symptoms:
     fluctuating hearing loss
     occasional episodic vertigo (usually a spinning
    sensation, sometimes violent)
     tinnitus or ringing in the ears (usually low-tone
    roaring),
     aural fullness (eg, pressure, discomfort, fullness
    sensation in the ears).
    Clinical Manifestations
    • Vertigo (attacks can last anywhere from a few
    minutes to 24 hours)
    • Loss of hearing in the affected ear
    • Tinnitus
    • Feeling of fullness in the affected ear
    • Loss of balance
    • Headaches
    • Nausea, vomiting, and sweating caused by severe
    vertigo
    Diagnosis
    • Audiometry
    • Electronystagmography
    • Computer tomography or, magnetic resonance
    imaging may be needed to rule out a tumor
    occurring on the hearing or balance nerve
    Management
    • Salt-restricted diet, steroids, and the use of
    diuretics are often first-line therapies
    • IV or IM diazepam provides excellent
    vestibular suppression and antinausea effects.
    • Steroids can be given for anti-inflammatory
    effects in the inner ear.
    • IV fluid support can help prevent dehydration
    and replaces electrolytes.
    Mgt cont.
    • Avoiding trigger substances eg, salt, chocolate,
    caffeine
    • Smoking cessation also is recommended. If
    Complications

    • Injury due to falls


    • Anxiety regarding symptoms
    • Accidents due to vertigo spells
    • Disability due to unpredictable vertigo
    • Progressive imbalance and deafness
    • Intractable tinnitus

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